C Subclinical systemic lymphedema caused by increased BMI in patients with lower limb lymphedema
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 9
Abstract
Lymphedema is a clinical condition that results from the buildup of macromolecules in the interstitial space leading to an accumulation of fluids. The objective of the present study is to correlate intracellular and extracellular fluid variations by comparing patients with lymphedema and different body mass indexes (BMIs): between 25 and 30, between 31 and 37 and greater than 37. Sixty consecutive medical records of patients with stage III lymphedema (elephantiasis) of the legs treated were evaluated in a cross-sectional study. The only inclusion criteria were clinical stage III lymphedema of the lower limbs and BMI greater than 25. Patients were evaluated by bioimpedance (InBody S10) to measure the intracellular and extracellular fluid content. Patients were divided into three groups depending on their BMI (25-30, 31-37 and >37). Fisher's exact test was used for statistical analysis with an alpha error of 5% (p-value < 0.05) being considered statistically significant. Significant abnormal increases (the difference between the actual and expected values) were found for both extracellular and intracellular fluids dependent on the increase of BMI. Obesity and its progression are associated with greater retention of intracellular and extracellular fluid, confirming the changes to the lymphatic system observed in animal studies. This aspect produces a specific type of subclinical systemic lymphedema involving body edema.
Authors and Affiliations
Jose Maria Pereira de Godoy
Keywords
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